Healthcare Provider Details

I. General information

NPI: 1861302531
Provider Name (Legal Business Name): ALYSSA STEVENS PHARMD
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

638 CHANDLER ST
WORCESTER MA
01602-1770
US

IV. Provider business mailing address

638 CHANDLER ST
WORCESTER MA
01602-1770
US

V. Phone/Fax

Practice location:
  • Phone: 508-798-0221
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH1003861
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: